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Chapter 34: Problem 379

A known drug addict arrived in the labor unit at \(8 \mathrm{~cm}\) dilated. The client managed the contractions and the infant was delivered within 1 hour of the mother's admission. For which conditions would the infant be monitored? (Select all that apply.) A. Hyperbilirubinemia B. Congenital anomalies C. ___ Narcotic depression immediately after birth D. Narcotic withdrawal within a few hours of delivery

Short Answer

Expert verified
C and D - Narcotic depression immediately after birth and Narcotic withdrawal within a few hours of delivery.

Step by step solution

01

- Identify the Immediate Concerns

Determine conditions that typically arise immediately after birth in infants born to drug-addicted mothers. Narcotic depression is a condition that can occur immediately after birth due to the baby's exposure to the drug in utero.
02

- Consider Short-term Conditions Post-Delivery

Identify conditions that would manifest within a few hours after birth. Narcotic withdrawal is a common condition that may occur shortly after birth when the infant is no longer exposed to the drug.
03

- Assess for Potential Long-term Conditions

Evaluate if hyperbilirubinemia and congenital anomalies are directly related to the immediate birth circumstances of a baby born to a drug-addicted mother. These conditions, while important, are not directly linked to the immediate aftermath of maternal drug addiction.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Narcotic Depression
Narcotic depression is an important condition to understand for infants born to mothers with a history of drug addiction. It occurs when a baby shows symptoms of drug influence right after birth, caused by exposure to narcotics while in the womb.

The symptoms can include:
  • Difficulty breathing
  • Lethargy or extreme sleepiness
  • Poor muscle tone
  • Poor feeding
Because the newborn's body is not accustomed to functioning without the drug, the infant might experience physical depression immediately. Therefore, healthcare providers need to be vigilant and prepared to offer interventions such as oxygen support or medications like naloxone to help the infant breathe more easily.
Narcotic Withdrawal
Narcotic withdrawal refers to the symptoms that appear when a baby has been exposed to drugs in the womb and is suddenly cut off from these substances after birth. This condition usually surfaces within a few hours to days after delivery.

Some common signs of narcotic withdrawal in newborns include:
  • High-pitched crying
  • Tremors or shaking
  • Seizures
  • Diarrhea and vomiting
  • Poor feeding and sucking reflex
The withdrawal process can be very challenging for newborns. To ease the symptoms, healthcare providers may use medications such as methadone or morphine. Additionally, providing a quiet and comforting environment with gentle handling can help soothe the baby.
Infant Monitoring
Infant monitoring is crucial for newborns at risk of narcotic depression or withdrawal. Monitoring involves keeping a close watch on the baby's vital signs and physical condition to ensure prompt intervention if any issues arise.

Key aspects of infant monitoring include:
  • Regular checks of heart rate and breathing
  • Observation for signs of distress, such as difficulty feeding or excessive crying
  • Ongoing assessments for symptoms of withdrawal
This close surveillance allows healthcare providers to take immediate action if necessary, ensuring the well-being of the newborn. Advanced infant care techniques also involve educating the parents about what to expect and how to support their baby's needs during this critical period.

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Most popular questions from this chapter

A client has a white blood cell count of \(6000 / \mathrm{mm}^3\). The differential reports \(47 \%\) of these are neutrophils (segs) and \(5 \%\) are bands. What is the absolute neutrophil count? A. 2520 B. 2820 C. 3120 D. 3420

When assessing a client in the emergency room, which finding should be interpreted as a major indicator of acute pancreatitis? A. Positive Cullen鈥檚 sign. B. Postprandial elevated serum amylase. C. Decreased pancreatic secretion with secretin stimu- lation. D. Midepigastric pain worsened by fasting.

Which is the basic type of diet that the nurse would obtain for a client with celiac disease? A. Fat free B. Gluten free C. Lactose free D. Low sodium The answer is B. Clients with celiac disease are unable to break down gluten, which is a protein. These clients are treated with a gluten-free diet. This diet excludes products containing wheat, rye, oats and barley since these grains contain gluten.

The nurse checks adduction as a part of the range of motion assessment of which joints? Mark all that apply. A. ___ Lumbar spine B. ___ Knee C. ___ Wrist D. ___ Ankle E. ___ Finger F. ___ Toe

Due to an allergy to cats, a client has had several allergy attacks after visiting a family member. The physician has prescribed an antihistamine to reduce the symptoms. The client asks the nurse when would be the best time to take the antihistamine. The nurse's response is based on the knowledge that antihistamines A. transfer the allergic response to a mast cell. B. destroy the allergen that caused the symptoms C. block histamine from attaching to receptor sites. D. destroy histamine, the cause of allergic symptoms.
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